Individual provider Active NPI

Jeanette Balkam Hatfield, SEVERE DISABILITIES

  • Specialist
  • Santa Barbara, CA
National Provider Identifier
1326290297
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
050168342 Issued in CA
Practice address
4400 Cathedral Oaks Rd
Santa Barbara, CA 93110-6307
Phone
(805) 964-4711
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 050168342 CA Primary

Addresses

Primary practice location

4400 Cathedral Oaks Rd
Santa Barbara, CA 93110-6307

Mailing address

4400 Cathedral Oaks Rd
PO Box 6307
Santa Barbara, CA 93110-6307
Phone (805) 964-4711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
050168342CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara County Education Office Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1326290297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 CATHEDRAL OAKS RD",
            "address_2": "PO BOX 6307",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931106307",
            "telephone_number": "805-964-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 CATHEDRAL OAKS RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931106307",
            "telephone_number": "805-964-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "JEANETTE",
        "middle_name": "BALKAM",
        "name_prefix": "Ms.",
        "credential": "SEVERE DISABILITIES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "050168342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.